title: [A rare cause of obstructive jaundice: fascioliasis].
abstract: A 56 year old woman was admitted to the clinic with severe colicky right upper abdominal pain. There was a three-week history of jaundice. Pathological biochemical laboratory results of her serum were as follows: direct bilirubin 4.53 mg/dl, total bilirubin 3.08 mg/dl, AST 45 U/L, ALT 72 U/L. Surgical treatment, cholecystectomy + choledochtomy + T-tube drainage, was performed. Exploration of the choledochus revealed two Fasciola hepatica. The patient was also given antihelmintic treatment. We present a case of fascioliasis-induced acute cholangitis that was diagnosed and treated via surgery. A review of the literature on extraction of living parasites is also included.
authors.affiliation: Afyon Kocatepe Üniversitesi Tıp Fakültesi, Mikrobiyoloji Anabilim Dalı, Afyonkarahisar, Türkiye. ozlmiman@yahoo.com
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Mıman
authors.forename: Taner
authors.initials: T
authors.lastname: Özkeçecı
authors.forename: Nazan
authors.initials: N
authors.lastname: Okur
authors.forename: İhsan Hakkı
authors.initials: İH
authors.lastname: Çıftcı
authors.forename: Coşkun
authors.initials: C
authors.lastname: Polat
mesh_terms: D000818:Animals; D002761:Cholangitis / Q000188:drug therapy / Q000469:parasitology* / Q000601:surgery; D002763:Cholecystectomy; D003135:Common Bile Duct / Q000469:parasitology / Q000601:surgery; D004322:Drainage; D005210:Fasciola hepatica / Q000302:isolation & purification; D005211:Fascioliasis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000469:parasitology* / Q000601:surgery; D008875:Middle Aged